Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cheryl L Bagan

Individual provider Counselor · NPI 1114594694

Cheryl L Bagan is a Counselor in Los Angeles, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5

Practice location Address checks out

4240 W 62nd St
Los Angeles, CA 90043-3615
Phone: (323) 290-2540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1114594694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address5757 W Century Blvd Ste 303, Los Angeles, CA 90045-6409

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